Li Qingqing, Wu Chaoqin, Huang Zhenfei, Cao Jiang, Chang Jie, Yin Guoyong, Yu Lipeng, Cao Xiaojian, Sui Tao
Department of Orthopaedics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
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J Biomed Res. 2022 May 10;36(3):208-214. doi: 10.7555/JBR.36.20220023.
Osteoporotic vertebral compression fracture (OVCF) has become a major public health issue that becomes more pressing with increasing global aging. Percutaneous kyphoplasty (PKP) is an effective treatment for OVCF. Robot-assisted PKP has been utilized in recent years to improve accuracy and reduce complications. However, the effectiveness of robot-assisted PKP in the treatment of multi-segmental OVCF has yet to be proved. This study was designed to compare the efficacy of robot-assisted and conventional fluoroscopy-assisted multi-segmental PKP. A total of 30 cases with multi-segmental OVCF between April 2019 and April 2021 were included in this study. Fifteen cases were assigned to the robot-assisted PKP group (robot group) and 15 cases to the conventional fluoroscopy-assisted PKP group (conventional fluoroscopy group). The number of fluoroscopic exposures, fluoroscopic dose, operation time, cement leakage rate, visual analog scale (VAS) score, vertebral kyphosis angle (VKA), and height of fractured vertebral body (HFV) were compared between the 2 groups. The number of fluoroscopic exposures, fluoroscopic doses, and cement leakage rates in the robot group were lower than in the conventional fluoroscopy group ( <0.05) while the operative time in the robot group was longer than in the conventional fluoroscopy group ( <0.05). VAS score and VKA were decreased and HFV was increased after surgery in both groups ( <0.05). Therefore, robot-assisted PKP for the treatment of multi-segmental OVCF can reduce the number of fluoroscopic exposures, fluoroscopic doses, and cement leakage compared to conventional treatment. As such, robot-assisted PKP has good application prospects and is potentially more effective in the treatment of multi-segmental OVCF.
骨质疏松性椎体压缩骨折（OVCF）已成为一个重大的公共卫生问题，随着全球老龄化加剧，这一问题变得愈发紧迫。经皮椎体后凸成形术（PKP）是治疗OVCF的一种有效方法。近年来，机器人辅助PKP已被用于提高手术精度并减少并发症。然而，机器人辅助PKP治疗多节段OVCF的有效性尚未得到证实。本研究旨在比较机器人辅助与传统透视辅助多节段PKP的疗效。本研究纳入了2019年4月至2021年4月期间的30例多节段OVCF患者。15例被分配至机器人辅助PKP组（机器人组），15例被分配至传统透视辅助PKP组（传统透视组）。比较两组之间的透视曝光次数、透视剂量、手术时间、骨水泥渗漏率、视觉模拟评分（VAS）、椎体后凸角（VKA）以及骨折椎体高度（HFV）。机器人组的透视曝光次数、透视剂量和骨水泥渗漏率均低于传统透视组（<0.05），而机器人组的手术时间长于传统透视组（<0.05）。两组术后VAS评分和VKA均降低，HFV增加（<0.05）。因此，与传统治疗相比，机器人辅助PKP治疗多节段OVCF可减少透视曝光次数、透视剂量和骨水泥渗漏。由此可见，机器人辅助PKP具有良好的应用前景，在治疗多节段OVCF方面可能更有效。
